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General NPI Number Information
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NPI Number | 1093461360
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Entity Type | Organization
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Legal Business Name | NATURAL POTENTIAL HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 2028 W POPLAR AVE STE 106
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City | COLLIERVILLE
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State | TN
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Zip | 38017-0618
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Country | US
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Telephone | 901-861-0716
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Fax | 901-861-0718
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Provider Business Mailing Address
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Address Line | 2028 W POPLAR AVE STE 106
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City | COLLIERVILLE
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State | TN
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Zip | 38017-0618
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Country | US
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Telephone | 901-861-0716
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Fax | 901-861-0718
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY CARR
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Credential |
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Telephone | 901-861-0716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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